Steven Lawrence Underwood DDS

NPI 1750423026 - Dentist - 122300000X

NPI Details
NPI 1750423026
Gender Male
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
107 THREE RIVERS EAST
FORT WAYNE IN, 46802-1311, US
Phone (260) 426-4438
Fax
Business Location
107 THREE RIVERS EAST
FORT WAYNE IN, 46802-1311, US
Phone (260) 426-4438
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12008044A
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According to our database, Steven Lawrence Underwood DDS NPI is 1750423026, taxonomy code is 122300000X and license number is 12008044A, license state is located at Indiana. Steven Lawrence Underwood DDS physically located at 107 Three Rivers East, Fort Wayne IN, 46802-1311. NPI Number Steven Lawrence Underwood DDS has the Individual type.

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1750423026 NPI number is provided on an as is basis without warranty of any kind. 1750423026 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Lawrence Underwood DDS are for informational purposes only.